Aesthetic Plastic Surgery最新文献

{"title":"Ability to Breastfeed After Breast Reduction.","authors":"Valerie C Nemov, William West, Padma Vasanthakumar, Nicole K Le, Kristen Whalen, Bri Anne McKeon, Deniz Dayicioglu","doi":"10.1007/s00266-025-04791-2","DOIUrl":"https://doi.org/10.1007/s00266-025-04791-2","url":null,"abstract":"<p><strong>Background: </strong>Breast reduction surgery is increasingly performed in reproductive age women, raising concerns for potential breastfeeding implications. We evaluated breastfeeding outcomes in patients that underwent reduction mammaplasty with one of three pedicle types and subsequently conceived and delivered at our institution. The primary objective was to determine the impact of reduction mammaplasty on breastfeeding success. The secondary objective was to explore other factors influencing breastfeeding success.</p><p><strong>Methods: </strong>Twenty patients were included. Patients' charts were queried for demographics, comorbidities, pregnancy outcomes, and surgical details. The independent samples T test was utilized to analyze continuous variables. The Pearson's Chi-squared or Fisher's exact test was used for categorical variables.</p><p><strong>Results: </strong>Of the twenty patients who attempted breastfeeding after reduction mammaplasty in the study's timeframe, 11 (55%) were successful. Breastfeeding success was not significantly affected by the type of pedicle chosen for the procedure, the tissue excision weight, age at breast reduction, time between surgery and pregnancy, age at pregnancy, BMI, smoking status, chronic hypertension, pre-gestational diabetes, preterm delivery, delivery method, or neonatal birthweight. Delivering a small for gestational age infant significantly reduced the chance of breastfeeding success (p=0.05).</p><p><strong>Conclusions: </strong>In our study, the ability to breastfeed was not significantly affected by a history of breast reduction surgery, regardless of pedicle type, tissue excision weight, or demographic factors. OBGYNs and plastic surgeons should engage in shared decision making with potential surgical patients and counsel them that while the literature is overall reassuring, there is a potential impact on breastfeeding ability given that milk-producing breast parenchyma will have been removed.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Costal Surgery for Waist Improvement Safety and Efficacy: A Systematic Review of the Literature.","authors":"Stefan Danilla, Tomás González-Arestizábal","doi":"10.1007/s00266-025-04815-x","DOIUrl":"https://doi.org/10.1007/s00266-025-04815-x","url":null,"abstract":"<p><strong>Background: </strong>Body contouring surgery has gained increasing popularity. Waist reduction has become central to body contouring, particularly in Latin America, where hip stylization is a beauty standard. This systematic review aims to evaluate the safety and efficacy of costal cosmetic surgery for waistline improvement and to assess the quality of the evidence.</p><p><strong>Methods: </strong>Search Methods for Study Identification: A comprehensive search was conducted on PubMed and other databases using the following keywords: \"Removal rib,\" \"Remodeling Rib,\" \"Waist narrowing,\" \"Waist-hip ratio,\" \"Body contouring,\" \"Aesthetic surgery,\" \"Plastic surgery\" and \"Complications.\"</p><p><strong>Selection of studies: </strong>We included all studies regarding surgery on the ribs with the aim of improve (narrow) the waist for cosmetic purposes.</p><p><strong>Results: </strong>Of the 161 studies identified, 8 met inclusion criteria. Most studies were retrospective case series, with two being multicentric. A total of 444 participants were included, predominantly women. Five studies involved costal remodeling, and three performed costal resection. Anthropometric outcomes were reported in 6 studies. Complications included pain, pneumothorax and wound dehiscence. Follow-up periods ranged from 3 to 6 months.</p><p><strong>Conclusion: </strong>While rib resection and remodeling appear to be safe techniques, their long-term efficacy remains uncertain. Studies with rigorous designs and longer follow-up are needed to establish robust evidence.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Assessment of Effectiveness of Various Fixation Methods for Auricular Prostheses.","authors":"Sergo Hovhannisyan, Karen Mashinyan, Mikayel Ordoyan, Armen Harutyunyan, Anna Poghosyan, Gagik Hakobyan","doi":"10.1007/s00266-025-04826-8","DOIUrl":"https://doi.org/10.1007/s00266-025-04826-8","url":null,"abstract":"<p><strong>Background: </strong>The absence of an intact auricle can lead to both functional impairments and psychological distress, prompting individuals to withdraw from social interactions. Consequently, there is a pressing need for functional and aesthetic rehabilitation in these patients to restore their psychosocial well-being. When surgical reconstruction is not optimal, an auricular prosthesis can be fabricated and fixed with glue to the skin or with a magnetic fixation on osteointegrated implants.</p><p><strong>Objectives: </strong>This comparative study aims to evaluate the efficacy of auricle defect restoration using prostheses with adhesive fixation to the skin and magnetic fixation on implants inserted into the mastoid processes.</p><p><strong>Methods: </strong>Fourteen patients (eight men and six women, average age 42 years) were included in the study. Among them, 12 patients had unilateral auricle defects, while two patients presented bilateral defects. The causes of auricle defects were predominantly traumatic (12 cases), with two cases attributed to congenital factors. Patients were stratified into two groups: Group 1, comprised six patients, in whom the auricular prosthesis was fixated to the skin using a biological adhesive (glue) and Group 2 consisted of eight patients, in whom the auricular prosthesis was retention osseointegrated implants inserted into the mastoid processes of the temporal bone. In Group 2, five cases were rehabilitated with prostheses featuring magnetic fixation, while the remaining three cases utilized prostheses with attachment fixation.</p><p><strong>Results: </strong>During the observation period ranging from six months to three years, none of the patients in group 2 encountered implant-related issues such as poor osseointegration or wound healing complications. Overall, all patients expressed satisfaction with the treatment outcomes, citing the relatively short hospital stay and less invasive nature of the procedure compared to alternative treatments.</p><p><strong>Conclusion: </strong>Implant-retained auricular prostheses present a favorable treatment option characterized by excellent retention and high patient satisfaction. In contrast, prostheses fixed with adhesives pose several drawbacks, including skin irritation, dermatitis, and the potential for deformation of the auricular prostheses, presenting significant challenges for both patients and clinicians.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immunohistochemical Analysis of Nanofat Membrane, Solid PRF, and Stromal Vascular Fraction Gel.","authors":"Nabil Fakih-Gomez, Shahriar Nazari, Fatemeh Azadi, Mohammad Reza Pourani, Paula Martin-Marfil","doi":"10.1007/s00266-025-04798-9","DOIUrl":"https://doi.org/10.1007/s00266-025-04798-9","url":null,"abstract":"<p><strong>Introduction: </strong>Platelet-rich fibrin (PRF) and nanofat have emerged as promising autologous biomaterials in tissue regeneration and facial rejuvenation. Both serve as vehicles for cellular growth factors that promote wound healing and tissue remodeling. This study aims to investigate the presence of endothelial and stem cell markers in nanofat membranes through immunohistochemical analysis.</p><p><strong>Materials and methods: </strong>Eleven patients (nine women, two men) with a mean age of 36.82 ± 5.79 were included in this case-series study. Tissue samples were obtained using a mixture of nanofat and injectable PRF, with two different concentration ratios (2:1 and 1:1), in addition to solid PRF and stromal vascular fraction (SVF) gel membrane for comparison. The samples were fixed in 10% formaldehyde, processed into paraffin blocks, and sectioned (2-5 μm). Immunohistochemical staining was performed using markers CD31 (endothelial cells), CD34 (hematopoietic and adipose-derived stem cells, and endothelial cells), CD163 (macrophages), ERG (endothelial marker), S100 (adipocyte marker), and CD10 (adipose-derived stem cells). Histopathologic examination evaluated endothelial and stem cell presence as well as macrophage infiltration.</p><p><strong>Results: </strong>Histopathological analysis revealed fragmented adipose tissue with vascular proliferation, as well as platelet and fibrin deposition. Immunohistochemical staining showed the presence of endothelial markers (CD31: 36.82%, CD34: 22.73%, ERG: 19.09%) in the nanofat membrane, indicating vascularization. CD163 staining highlighted macrophages, although they were sparse in the nanofat membrane (<1% of cells). The SVF gel membrane exhibited substantial platelet aggregation but lacked evidence of cellular differentiation. CD34 staining confirmed the presence of adipose-derived stem cells (ADSCs), though in lower-than-expected quantities.</p><p><strong>Conclusion: </strong>This study demonstrates the presence of endothelial cells and limited macrophages within the nanofat membranes, suggesting potential for vascular neoformation and tissue remodeling. However, the lack of detection of significant adipose-derived stem cells highlights the need for more advanced immunohistochemical markers to fully evaluate regenerative potential. The nanofat membrane provides a viable scaffold for tissue regeneration, with further research needed to optimize protocols for enhanced clinical outcomes.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Approach to Deep Plane Facelift.","authors":"Boris M Ackerman, Nirav B Savalia","doi":"10.1007/s00266-025-04793-0","DOIUrl":"https://doi.org/10.1007/s00266-025-04793-0","url":null,"abstract":"<p><p>The senior author has developed a systematic approach to performing Deep Plane Facelift, which allows the procedure to be performed in a safe, efficient and reproducible fashion. This approach evolved over many years of facial rejuvenation surgery practice. The senior author was introduced to Deep Plane Facelift in Dr. Sam Hamra's operating room over 20 years ago. The technique has three distinct dissection steps, and a unique suture fixation method. This method allows for performing Deep Plane Facelift in an efficient and safe fashion. This technique has some novel elements: strict compartmentalized dissection sequence; lateral orbicularis muscle is incorporated into the composite cheek flap; treat the mobilized composite cheek and neck flap as a \"monobloc\"; the cheek suspension starts at the superior most aspect of the composite cheek flap; the cheek flap is advanced in a more superior vector than traditionally described; the cheek flap is held in pre-determined position with a hook, under moderate tension during suture fixation. The manipulation of the neck is beyond the scope of this article; it can be done by any of the described methods, as indicated by the patient's individual anatomy. Having received positive reports from visiting surgeons that have learned this technique from the senior author, we hope that others will find this technique beneficial. We will present a few representative long-term results. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction of Gynecomastia with Combination of Ultrasonic Liposuction (VASER) and Gland Excision through a Minimal Scar Incision: A Multi-Center Experience.","authors":"Hasan Ali","doi":"10.1007/s00266-025-04801-3","DOIUrl":"https://doi.org/10.1007/s00266-025-04801-3","url":null,"abstract":"<p><strong>Background: </strong>Gynecomastia is a common condition among men, leading to psychological distress and impacting quality of life. Traditional correction techniques often result in prominent scarring, which can be a major concern for patients. This study explores the efficacy of combining VASER liposuction with gland excision through a minimal scar approach to improve aesthetic outcomes.</p><p><strong>Methods: </strong>This study retrospectively analyzed 960 patients treated between October 2009 and January 2024 at two centers located in Dubai and Riyadh. Patients were classified using Simon's grading system. The surgical procedure included VASER-assisted liposuction targeting the chest, lateral chest, and axillary fold areas, followed by gland excision through a minimal scar incision. Satisfaction was assessed using both patient- and physician-reported Visual Analogue Scale (VAS) scores. Ethical approval was obtained from the Dubai Scientific and Research Ethics Committee (DSREC) and the Institutional Review Board (IRB) at Hasan Surgery and The Clinics Riyadh KSA.</p><p><strong>Results: </strong>Patient distribution by Simon grading was: Grade I (16.7%), Grade IIA (41.7%), Grade IIB (29.2%), and Grade III (12.5%). Mean aspirated fat volume was 859.4 ml. Patient satisfaction was high, with a mean VAS score of 9.4 across all grades, and minor complications such as bruising, temporary sensory loss, and hematomas occurred in 1.7% of cases. Physician-assessed VAS scores mirrored patient satisfaction, demonstrating the reliability of the technique in achieving minimal scarring, significant skin retraction, improved contouring, and high satisfaction rates.</p><p><strong>Conclusion: </strong>Combining VASER-assisted liposuction with gland excision through a minimal scar incision is a highly effective approach for gynecomastia correction. The technique delivers superior aesthetic outcomes, minimal scarring, and high satisfaction across all grades of gynecomastia. Further long-term studies are recommended to assess delayed recurrence.</p><p><strong>Level of evidence v: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long Drainers After Abdominoplasty: A Risk Analysis.","authors":"Margarida Alves, Margarida Mendes, Rita Valença-Filipe, Marco Rebelo, Helena Peres, António Costa-Ferreira","doi":"10.1007/s00266-025-04773-4","DOIUrl":"https://doi.org/10.1007/s00266-025-04773-4","url":null,"abstract":"<p><strong>Background: </strong>Suction drains are still one of the most accepted strategies for lowering abdominoplasty postoperative complications. Long periods with drains have been reported after a full abdominoplasty and are associated with patient discomfort, limited mobility, and slower recovery. The clinical profile of Long drainers has yet to be investigated.</p><p><strong>Objective: </strong>Identify risk factors that increase the number of days with drains.</p><p><strong>Methods: </strong>A single-center retrospective observational study of patients submitted to classical abdominoplasty was performed. Patients were allocated to one of two groups: Long drainers (≥ 6 days with drains) and Short drainers (< 6 days with drains). Several variables were determined: age, sex, body mass index, medical comorbidities (hypertension and diabetes mellitus), previous surgical procedures, specimen weight, time to suction drain removal, and drain output.</p><p><strong>Results: </strong>In total, 418 patients were included in this study, and 36% were Long drainers. There was a statistically significant difference between groups regarding total drain output, time until drain removal, body mass index, previous bariatric procedures, and specimen weight, with lower values for Short drainers. No significant differences were found in age, sex, arterial hypertension, diabetes mellitus, and previous abdominal surgery. Specimen weight ≥ 750 g, body mass index ≥ 28 kg/m², and previous bariatric surgery accounted for 75% of Long drainers and increased Long drainer risk by 3.5 times, 3.0 times, and 2.6 times, respectively.</p><p><strong>Conclusion: </strong>The high-risk profile for long drainage after classical full abdominoplasty is a body mass index ≥ 28 kg/m², previous bariatric procedure, and specimen weight ≥ 750 g. These characteristics may justify using surgical strategies for Long drainer prevention, such as quilting sutures or Scarpa sparing abdominoplasty.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hemostatic Net Versus Surgical Drain After Deep Plane Facelift Surgery: A Prospective Randomized Controlled Trial.","authors":"Maram Ismail, Samir Ghoraba","doi":"10.1007/s00266-025-04745-8","DOIUrl":"https://doi.org/10.1007/s00266-025-04745-8","url":null,"abstract":"<p><strong>Background: </strong>Several studies have discussed the safety and effectiveness of the hemostatic net after facelift surgery. However, fearful of having to deal with a hematoma or seroma following the surgery, many surgeons opt to leave surgical drains in place for a short time after the procedure. There is minimal data from studies comparing the hemostatic net to surgical drains.</p><p><strong>Objectives: </strong>To compare the efficacy of surgical drains and the hemostatic net after deep plane facelift surgery.</p><p><strong>Materials and methods: </strong>This study prospectively compares the effectiveness of both methods in a randomized controlled approach, including a consecutive series of 160 patients who underwent deep plane facelifts throughout a 6-month period. We compared the incidence of hematoma, seroma, edema, and other complications during the postoperative period using surgical drains and the hemostatic net.</p><p><strong>Results: </strong>Eighty female patients were included in each group. Analysis of the postoperative data showed no significant difference in hematoma and seroma rates between the drain and net groups. Both methods were associated with comparable degrees of postoperative edema (p =  0.737). The occurrence of other complications such as ecchymosis, congestion, and necrosis did not show a significant correlation to either method.</p><p><strong>Conclusions: </strong>The hemostatic net and surgical drain have comparable outcomes in terms of controlling hematoma and seroma formation after deep plane facelift surgery and show similar degrees of postoperative swelling.</p><p><strong>Level of evidence i: </strong>A randomized controlled trial. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Questioning the Premise for Implantable Mesh During Mastopexy.","authors":"Eric Swanson","doi":"10.1007/s00266-025-04824-w","DOIUrl":"https://doi.org/10.1007/s00266-025-04824-w","url":null,"abstract":"","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barraquer Simons Syndrome: Case Series and Review of Surgical Treatments for Facial Lipodystrophy.","authors":"Meryem Hamam, Atilla Adnan Eyuboglu, Mustafa Tonguc Isken","doi":"10.1007/s00266-025-04794-z","DOIUrl":"https://doi.org/10.1007/s00266-025-04794-z","url":null,"abstract":"<p><strong>Background: </strong>Barraquer Simons Syndrome (BSS) is a subtype of idiopathic acquired lipodystrophy, wherein patients-mostly female-lose subcutaneous fat in the upper half of the body starting in childhood or puberty. A disproportionate fat allocation can be seen in the trochanteric region and thighs.</p><p><strong>Methods: </strong>Along with three cases of lipoatrophy treated at our hospital, we conducted a comprehensive review and presented the treatments in the literature for improving bilateral facial lipodystrophy.</p><p><strong>Results: </strong>Flaps and autologous fat grafting procedures were favored across the literature, and regardless of the intervention of choice, patients reported satisfaction and improved life prospects.</p><p><strong>Conclusion: </strong>The loss of facial fat is especially afflicting for patients as the bilateral lipoatrophy imparts an aged, cachexic look which negatively affects not only their self-image but their social status as well. Alternatives to approach lipoatrophy vary in their invasiveness, permanency, and feasibility; thus, treatments must be thoroughly tailored to each patient's needs and expectations. Barraquer Simons Syndrome is a rare subtype of lipodystrophy primarily affecting females, leading to fat loss in mainly the upper body. The negative social impact of the syndrome necessitates intervention, and patients receiving appropriate treatment reported improved psychosocial parameters. Treatment plans should consider each patient's specific needs and expectations, balancing invasiveness, permanency, and feasibility of the procedures.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}